Permit (266) '114 q CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2013 00034
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2013
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY X
Project: Tigard Retail Center Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: Reroof-Remove and replace. Permit is for the portion of the roof over Dollar Tree and Marshalls stores.
Contractor: GRIFFITH ROOFING Owner: SN PROPERTIES PARTNERSHIP
6815 SW 111TH AVE 1121 SW SALMON ST
BEAVERTON,OR 97005 PORTLAND, OR 97205
PHONE: 503-643-1596 PHONE:
FAX: 503-644-1529
FEES
Description Date Amount
Permit Fee 10/16/2013 $1,232.79
Specifics: 12%State Surcharge-Building 10/16/2013 $147.93
Type of Use: COM
Class of Work: ALT Type of Const: •
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $120,304.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $1,380.72
Required Items and Reports(Conditions)
This permit is •:• •• = to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' accordance with ap• •ved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. •TTENTION: Oregon law equ -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-'4)1-0010 through OAR 952-001-li%•0. o• ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss -d By: k. _ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application ��m��
Commercial ��C l01 Z 011'IC.1.: I'SE ON1.1
Received
City of Tigard �p13 Datem : ' ; Permit No.: _ .do,. 13125 SW Hall Blvd.,Tigard,OR 9R � Plan Review
Phone: 503.718.2439 Fax: 503.5 p'$ pa1e/gy: Other Permit:
Inspection 75 '01C!,1%.43 No 1Supplemental a I I(.:\It I) www www.tigard-or.gov ® Notified/Method: -TM; Page
Information
TYPE fil wORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement Other ft r�f _ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF NSTRUCTION work indicated on this application.
El I-and 2-family dwelling NKJ Commercial/industrial Valuation: $
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: )6 ice, S w Ac111` #4"--,J/ New dwelling area: square feet
V
City/State/ZIP: G rd Dr Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:�� 414i/ Covered porch area: square feet
Cross street/directions to job site: togr Tree_ 4.y i crSA.4J)3" 8� Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
' Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
,) Valuation: $ /2430y
'C/-a, Orr G„a-.4- roo '. /cave ei.c.da //-to r1 film
/.mss /' �� s n U p/� Existing building area: c/30iv square feet
rJ New building area: square feet
jA PROPERTY OWNER I ❑ TENANT Number of stories: Q�I
Name: pp Type of construction: PI�t ZnvaS�rntn /'t'o�J,!��ft'S YP 60)4 -)
Address: /12. 1 _ri.✓ .c. f••,t4 ti S,L .Sill3(„G�O Occupancy groups:
City/State/ZIP:/....?1,4/4,41 0 r_ J/ Existing:
Phone:( ) Fax:( ) New:
il APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 6fi-ic Jn J��,�rc /tie (Please relay deposit):
Contact e)
v icu� l Structural plan review fee(or deposit):
Contact name: 6', � 41C_-
FLS plan review fee(if applicable):
Address: CB/.S Sw Jl/-/
Total fees due upon application:
City/State/ZIP:
GkrG/jo,_ D
Phone: 9J ) /3/3.--5 G I Fax::(5)3)`�/ -1S-a7 Amount received:
E-mai I:e ^ - 1-A PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J t O frovw,�7 4 C b kin J
CONT CTOR-
Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:G,t��`�1 ��a�� �� Submit two(2)sets of roof plan with connection details/ ' , n t` and fire department access,along with the 2010 Oregon
Address: b RS— S'� j/) t Solar Installation Specialty Code checklist.
City/State/Z[P: 4��/�N �,,� Permit fee(includes plan review
C and administrative fees): $180.00
Phone:cg7 3) ‘t/3_45-14 Fax:(.763 )‘ Y vs--2 q State surcharge(12%of permit fee): $21.60
CCB lic.: 1.2„5"-- Total fee due upon application: $201.60
Authorized signature: /)��/fv`� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �. , 7 Date/f Z4,'� * Fee methodology set by'Fri-County Building Industry
I Service Board. •
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613"1(1 I/02/COM/WEB)